Affirmed that Pennsylvania was not entitled to federal reimbursement for the costs of a Medicaid provider training program. Pennsylvania argued that the costs of the training program were administrative costs under its Medicaid program and subject to reimbursement. The Centers for Medicare & Medicaid Services (CMS) disagreed and, in addition, sought a refund of $3 million in past overpayments. The Third Circuit upheld CMS's position, noting the narrow scope of review under the Administrative Procedure Act.